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《Journal of Dental Prevention and Treatment》 2004-03
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The Application of Orthognathic Surgery to Treatment of Obstructive Sleep Apnea Syndrome Due to Ankylosis of Temporomandibular Joint.

LIU Shuguang *, AI Weijian, HUANG Yuanjin, et al. * Department of Oral and Maxillofacial Surgery, Guangdong Provincial Stomatological Hospital, Guangzhou 510280  
Objective To evaluate orthognathic surgery in the treatment of obstructive sleep apnea syndrome (OSAS) resulted from ankylosis of temporomandibular joint (TMJ). Methods 12 cases of TMJ ankylosis with OSAS were selected (4 males, 8 females, bilateral ankylosis in 8, unilateral ankylosis in 4 and all with micrognathism). All patients were examined by polysomnography and OSAS was affirmed. The patients were treated by TMJ arthroplasty, ramus sagittal osteotomy and mandibular advancement, genial advancement and hyoid suspension, or distraction osteogensis (DO) of mandible. 12 cases were followed up in 3-36 months. Results After operation, the maximal mouth opening of the 12 patients increased from 0-2 mm to 25-40 mm, all patients gained good appearance, and continuous oxygen saturation degree increased from 42% to over 90% in average. Conclusion In the treatment of OSAS due to TMJ ankylosis, the mouth opening of patients can be improved and the obstruction of the upper airway can be relieved through TMJ arthroplasty and orthognathic surgery. Thus the hypoxemia of the patients was relieved or corrected.
【CateGory Index】: R782
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Chinese Journal Full-text Database 1 Hits
1 LuXiaofeng; Qiu Weiliu; Tang Yiusheng; et al(Department of Oral and Maxillofacial surgery,School Of Stomatology,Shanghai Second Medical University,Shanghai 200011);Cephalometric analysis in the patients of TMJ ankylosis with OSAS:skeletal morphology[J];SHANGHAI JOURNAL OF STOMATOLOGY;1997-02
Chinese Journal Full-text Database 5 Hits
1 Wen Wei-sheng et al.Department of Stomatology,General Hospital of PLA,Beijing 100853;A COMPARATIVE STUDY ON UPPER AIRWAY SPACE OF PATIENTS WITH OBSTRUCTIVE SLEEP APNEA SYNDROME IN DIFFERENT POSTURE[J];Beijing Journal of Stomatology;2004-04
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4 MA Yi-ke,SHEN Guo-fang,LU Xiao-feng,WANG Xu-dong,TANG You-sheng.(Department of Oral and Maxillofacial Surgery,School of Stomatology;Ninth People's Hospital,School of Medicine,Shanghai Jiao Tong University;Shanghai Research Institute of Stomatology.Shanghai 200011,China);Distraction osteogenesis for treatment of unilateral temporomandibular joint ankylosis and secondary OSAHS in children:Report of 4 cases[J];Shanghai Journal of Stomatology;2006-01
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